Stereotactic Surgery For Brain Injury

History

Patient Stan is a 57 years old male patient who suffering from brain injury after operation. MRI images revealed the softening lesion in bilateral hemispheres, with cerebral atrophy. He could not speak or eat as he had no feeling in the tongue. He underwent percutaneous endoscopic gastrostomy.

He also had difficulties in walking and using an electronic wheelchair for daily activities. The patient was admitted to Beijing Puhua International Hospital in April 2015 due to speech and mobility disorder for over 6 years.

Medical Condition Prior to Stereotactic Surgery

The patient could not protrude or move tongue, and could not speak. With above condition, he was suffering movement difficulty, and cound’t carry out daily activities as healthy people. Muscle strength: left uppers limb 5-/5, right upper limbs 4/5, left lower limbs 4/5, right lower limbs 4-/5. Muscle tension of left upper limb was slightly increased. Muscle tension of lower limbs was increased, especially in right lower limb. Right elbow joint was slightly in extended-contracture.

Stereotactic Surgery for Sequela of Brain Injury

After admission, several medical protocols were applied, including: treatment of improving neural function, promoting cerebral blood circulation and metabolism, combined with Traditional Chinese Medicine (TCM) and rehabilitation therapy.

Medical Condition after Stereotactic Surgery

After completing the treatment program, the patient’s general condition is good. Swallowing function has been improved, and he can eat a little banana slurry and other semi-liquid diets. He stated to have some feeling in his tongue. Limbs movement becomes more flexible. Physical examination: The patient is alert. He is unable to speak, but he can pronounce. Muscle strength: left uppers limb 5-/5, right upper limbs ( proximal end) -5/5, left lower limbs 5-/5, right lower limbs 4/5. Muscle tension of lower limbs is improved compared with the condition at admission.

Follow up:

After the Stereotactic Surgery one year, Mr. Stan is able to walk much better than before: he can enjoy more activities, such as playing foot ball and bowling without supports. His families are very happy to see his improvement.